17C-165 (6) Vill. ZONING PLAN EXAMINERS NOTES
DISTRICT
SIDE YARD SIDE YARD
REAR YARD
IX. SITE OR PLOT PLAN For Applicant Use
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NOTES and Data — (For department use)
IV, IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, stmt, city, and State ZZIyP��code Tel. No.
Owner or V 2� S mil/�� �C �G� I &6) 5T6
Lessee
Builder's
2, f License No.
Contractor
3.
Architect or
Engineer
I hereby certify that the proposed work is authorized by the owner of record and that I have been authorized by the owner to
make this application as his authorized agent and we agree to conform to all applicable laws of this jurisdiction.
Signature of applicant Address Application date
A/VV
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans g Notes
q Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Date
Permit or Approval Check Obtained Number By Permit or Approval Check obtained Number By
BOILER PLUMBING
CURB OR SIDEWALK CUT ROOFING
ELEVATOR SEWER
ELECTRICAL SIGN OR BILLBOARD
FURNACE STREET GRADES
GRADING USE OF PUBLIC AREAS
OIL BURNER WRECKING
OTHER OTHER
VII. VALIDATION
Building / FOR DEPARTMENT USE ONLY
Permit number
Building ( Use Group
Permit issued 19
Building Fire Grading
Permit Fee $ �)
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $ IV
TITLE
CITY OF NORTHAMPTON
�. MASSACHUSETTS
3 f OFFICE of the INSPECTOR of BUILDINGS
Pa C— Plot ���
g a � 1 APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
_
I• AT (LOCATION) oja -
ZONING 1 s•
DISTRICT
LOCATION IRO.) STRE T)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
H
II. TYPE AND COST OF BUILDING — A11 applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
M
1 F-1 New building Residential Nonresidential
2 F I Addition(If residential, enter number
12F__1 One family 18 Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13 fXTwo or more family — Enter 19 n Church, other religious
3 Iteration (See 2 above)
number of units— — — — —ta 20 n Industrial
_
14 � Transient hotel, motel, 21 �� Parking garage
4 Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (If multifamily residential, of units ——————— — -� 22 Service station, repair garage
enter number of units in building in 15 Garage 23 n Hospital, institutional
Part D, 13) ❑
16 Carport 24 n Office, bank, professional
6 Moving (relocation)
17 Other — Speci/y 25 Public utility
7 Foundation only
26 School, library, other educational
B. O7' piyote SHIP 27 Stores, mercantile
8 (individual, corporation, 28 Tanks, towers
nonprofit institution, etc.) 29 Other — Specify
9 0 Public (Federal, State, or
local government)
C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food
/� processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement••,••••,,••••••• 4` V, school, secondary school, college, parochial school, parking garage for,
department store, rental office building, office building at industrial plant.
To be installed but not included If use� e f existing building is being changed, enter propos us .
in the above cost ) ,,
a. Electrical....................... ,,n 7 j � �'cli ^ �.
b. Plumbing .......................
c. Heating, air conditioning..........
d. Other (elevator, etc.).............
s
11. TOTAL COST OF IMPROVEMENT $ 0i
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Part J, for all others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
48. Number of stories.......
30❑ Masonry (wall bearing) 40 Public or private company area, .
31 Wood frame 41 D Private (septic tank, etc.) 49. Total square feet floor area,
all floors, based on exterior
32 Structural steel dimensions .....................
33 Reinforced concrete H. TYPE OF WATER SUPPLY
34 Other — Specify 42 dPublic or private company 50. Total land area, sq. Ft. ..........
43 L__] Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
INC 51. Enclosed ......................
35 Gas Will there be central air 52. Outdoors........................
36 Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37 C Electricity 44 Yes 45 No
53. Number of bedrooms..............
38 Coal
39 Other — Specify Will there be an elevatory Full..........
54. Number of
46 Yes 47 'D No bathrooms
Partial......
a `bEPT. OF BUILDING INSPECTIONS BUILDING
212 Main Street Oa
Northampton, MA 01060 PERMIT Qa
17C - 165 VALIDATION
DATE January 10, 19 89 PERMIT NO. 21
APPLICANT Charles Asher ADDRESS 50 High St. , Florence Owner
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Renal r/RPOI acement. t_► STORY Two Family DWELLING UNITS
iMPROVEMENT) NO. (PROPOSED USE)
ZOING
AT (LOCATION) 50-52 High Street Florence DISTR CT URB
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: XXONIC XU permit fnr the rP,pai r/rPnl arPmPnt of Pxi st.i ng front porch 4' X 12'
AREA VOLUME ESTIMATED COST .$ T20(,( 1nn FEEMIT 10-00
CUBIC/SQUARE FEET)
OWNER pliGgAt
ADDRESS Saw@ a-s- App iGilAt'S — BY
WHITE - FILE COPY . GREEN - FIELD COPY a CANARY ^ APPLICANT COPY • PINK - ASSESSORS COPY Pixf ' P